Easy Denial Management Tool
As the newest product of Lighthouse Lab Services, RCM Spotlight uses a proprietary AI engine to monitor and detect changes that affect your revenue.
The application analyzes medical claims denials, claims underpayments, and overpayments that result from improper coding or payer processing.
How It Works
Who We Can Help
Labs With External RCM:
Labs With Internal RCM Teams:
Service will monitor denial patterns and compare them with peers. By monitoring data, identifying improvement opportunities, and providing actionable suggestions, our team of experts can implement the changes for improved processes.
For years, we’ve been developing this new technology for labs and healthcare billing companies of all sizes. Our mission is to provide companies with cutting-edge products that help analyze, predict, avoid, and recover medical claim denials.
Service Highlights
Watch a brief demonstration of RCM Spotlight’s capabilities from Ann Lambrix, VP of RCM Consulting
Case Studies
We love to show off the results of our hard work. Check out the case studies below for a few examples of our recent successes.
Drug Screening Denials
Did you know presumptive and definitive drug screening claims are denied at a rate of roughly 14% according to our analysis? See how to avoid these denials.
Incorrect Modifier Usage
See how we optimized billing processes for one of our independent lab clients to unlock nearly $200,000 in reimbursement opportunities for previously denied claims.
Supporting Data
Improving your payer contracting often isn’t as simple as making a request. See how we use billing data and other analytics to bolster your contracting.
Timely Filing Denials
Timely filing denials are a common reoccurrence for ancillary providers such as labs due to several factors and can have a substantial impact on RCM.